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i <br /> Page 5 of 5 <br /> ATTACHMENT A <br /> 1. List of all subcontractors, laborers, materialmen and suppliers who have not been <br /> paid from the payment received from the last Pay Request and the reason why <br /> they were not paid (attach additional pages as necessary): i <br /> 2. List of all subcontractors, laborers, materialmen and suppliers for which a signed <br /> release of lien form (partial or final as applicable) is not included with this Pay <br /> Request, together with an explanation as to why the release of lien form isnot <br /> included (attach additional pages as necessary): <br /> 00622-Contractor's Application for Payment-03-10 rev <br /> 00622-5 <br /> F\Public Works\ENGINEERING DIVISION PROJECTS\1123 43rd Ave Sidewalk Improvements 26th St.to Airport Dr WesMdmim\bid documents\Master Contract Documents\00622- <br /> Contractor's Application for Payment-03-10 rev.doc Rev.05101 <br />